Active NPI
Lilian Emetu, APRN
- Primary Care Nurse Practitioner
- Columbia, SC
National Provider Identifier
1114373651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 20098
- Practice address
- 822 Statler Road
Columbia, SC 29210 - Phone
- (803) 673-3256
- NPI assigned
- May 13, 2016
- Last updated
- May 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 20098 | SC | Primary |
Addresses
Primary practice location
822 Statler Road
Columbia, SC 29210
Mailing address
822 Statler Rd
Columbia, SC 29210-7028
Phone (803) 673-3256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20098 | SC | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- lilian.emetu.p1@direct.scdc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1114373651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 STATLER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107028",
"telephone_number": "803-673-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 STATLER ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29210",
"telephone_number": "803-673-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMETU",
"first_name": "LILIAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "SC",
"license": "20098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.